by John-Paul Crofton | Oct 13, 2026 | Budgeting, Business Case NHS, Change Management, Leadership & Decision Making, Neighbourhood Health, NHS
Are neighbourhood health, digital and prevention starting to disappear into the familiar Bermuda Triangle of NHS reform, along with the promises to improve performance? Key Takeaways NHS reforms rarely get cancelled. They slowly disappear, squeezed between three...
by John-Paul Crofton | Apr 9, 2025 | NHS, Change Management, Community, Community & Social Challenges, Health and Wellbeing, Public Services Innovation, Social Innovation, Uncategorized
As the NHS undergoes its latest round of reform, what shape will the new NHS look like? Piecing together the evidence the new design of the NHS seems to be coming into view. I’ve call it the Layered Tree Model. What is it? How might it work? What might its...
by John-Paul Crofton | Mar 24, 2025 | Budgeting, Change Management, Community & Social Challenges, Cost of living, Health and Wellbeing, Leadership & Decision Making, Measurement, Neighbourhood Health, NHS, Problem Solving & Decision Making, Public Services Innovation, Social Change, Social Impact, Social Innovation
As we try and create a positive social impact through people and communities, why are we continuously fighting and undermined by the decisions by our governments and organisations that don’t value people? Modern Accounting Standards Values People as...
by John-Paul Crofton | Mar 23, 2025 | Leadership, Budgeting, Change Management, Engagement, Health and Wellbeing, Leadership & Decision Making, NHS, Problem Solving & Decision Making
The NHS is having to cut costs, to save £6.6 billion, but why is the approach of Wes Streeting the Health Minister acting as a terrible role model and leading the health service down a dangerous path? The NHS Budget Cutting CrisisCuts to Local Systems.A Rotten Role...
by John-Paul Crofton | Mar 16, 2025 | Leadership & Decision Making, Budgeting, Change Management, Motivation, Neighbourhood Health, NHS, Problem Solving & Decision Making, Public Services Innovation
As the latest generation of politicians vow to cut bureaucracy to make the state more efficient, one thing remains clear: cutting bureaucrats is the wrong way to do it. Cutting Bureaucrats is Always PopularRecent NHS Bureaucratic CutsBureaucracy: A Misunderstood...
by John-Paul Crofton | Mar 14, 2025 | NHS, Budgeting, Change Management, Health and Wellbeing, Leadership & Decision Making, Neighbourhood Health, Problem Solving & Decision Making, Public Services Innovation
This week it was announced that NHS England is going to be abolished, well, at least in two years’ time, which, in bureaucratic terms, is lightning fast. But why did it fail? I argue that it was evolution. NHSE did not change the system, the system changed NHS...
